PROVIDER PROFILE · NPI 1295710820

Stephen SimonichM.D

Orthopedic SurgeryKaty, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

410

Unique beneficiaries

—

Total services

544

Distinct HCPCS

Medicare payment

$28K

Peer benchmark

Total Medicare services vs. 1,568 Orthopedic Surgery providers in TX — below median (cohort median 1,443).

PRESCRIBING · PART D · 2024

Total Rx claims

167

Beneficiaries

—

Total drug cost

$690

Distinct drugs

Brand share

24.0%

Top prescribed drugs

Meloxicam73 claims

Hydrocodone/Acetaminophen40 claims

Methylprednisolone31 claims

Ondansetron Hcl23 claims

QUALITY · MIPS · 2024

Final MIPS score

84.1

Quality

69.2

Cost

73.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.38%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Travel and Lodging$1K

Food and Beverage$530

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 450847

Hospital

CCN 673038

Inpatient rehabilitation facility

REFERRAL NETWORK

Where Stephen Simonich's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 9 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	20	74
MEMORIAL HERMANN REHABILITATION HOSPITAL KATY, LLC	14	65
Christopher Newton Diagnostic Radiology · Houston, TX	12	36
David Garza Diagnostic Radiology · Houston, TX	12	37
Terence Oconnor Diagnostic Radiology · Houston, TX	11	20

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MEMORIAL HERMANN HEALTH SYSTEM	74	324
Laboratory Corporation Of America Clinical Laboratory · Houston, TX	25	66
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	24	74
Sam Lo Diagnostic Radiology · Houston, TX	17	33
MEMORIAL HERMANN HEALTH SYSTEM	14	104
MEMORIAL HERMANN REHABILITATION HOSPITAL KATY, LLC	13	52
STAR THERAPY CENTERS LIMITED	12	61
Amir Kashani Cardiology · Houston, TX	11	23
Terence Oconnor Diagnostic Radiology · Houston, TX	11	16

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history